Sullivan, Thaxton

Sullivan, Thaxton is an sole proprietor health care provider with primary practice located at 572 Essayons Dr. 92Nd Engineer Bn, Hinesville GA 31313-3131. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Sullivan, Thaxton can be contacted via phone (601) 422-7472.

Contact Information

Primary practice address
572 Essayons Dr. 92Nd Engineer Bn Hinesville GA 31313-3131
Phone: (601) 422-7472
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT9120 Texas

Profile Details

NPI number 1942817895
LBN Legal business name Sullivan, Thaxton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2020
Last updated Mar 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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